| NPI | 1245323237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: NC 3003) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: NJ 35SI00408900) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2012-01-30 |